skro_22a_n.jpg and skro_22b_n.jpg: Unexpectedly, a testicular and scrotal swelling was observed in this teenager. The clinical findings correspond to the operative findings: A longitudinal-oval cystic mass lies parallel to the head of the epididymis and testis and is adherent to the latter. Its content is opaque. The clinical findings create the impression of an additional testis due to the connection with the upper testicular pole.
The diagnosis is a spermatocele.
In case of isolated swelling of the testis not always a real testicular tumor is present. In addition to the spermatocele which is rare in childhood there are numerous other tumor-like malformations.